Yamatani K, Marubashi S, Wakasugi K, Saito K, Sato N, Takahashi K, Sasaki H
Third Department of Internal Medicine, Yamagata University School of Medicine, Japan.
Tohoku J Exp Med. 1994 Jul;173(3):311-20. doi: 10.1620/tjem.173.311.
The effect of prolonged diabetic state on catecholamine-induced adenosine 3',5'-monophosphate (cAMP) response in the rat liver was examined using isolated liver perfusion. Epinephrine- or isoproterenol-induced cAMP production was enhanced (10-fold of the control) in the liver from extremely emaciated (intraperitoneal adipose tissue was absent completely) diabetic rats 4 weeks after streptozotocin-injection kept without insulin, but not from adipose tissue-present diabetic rats. Glucagon-induced cAMP production was decreased in the diabetic rat liver 4 weeks after streptozotocin regardless of the presence or absence of adipose tissue. Secretin-induced cAMP production was also decreased in the adipose tissue-absent diabetic rat liver. Plasma levels of glucose or insulin were not different between adipose tissue-present and -absent diabetic rats. Liver dysfunction (elevated AST and ALT levels) was observed 1 week after streptozotocin-injection, and worsened at 4 weeks. Forskolin-induced production of cAMP, and oxymetazoline (an alpha 2-adrenergic agonist)-induced suppression of it were not different among the control, newly diabetic (1 week after streptozotocin-injection), and the adipose tissue-absent diabetic rat liver.
使用离体肝脏灌注法研究了长期糖尿病状态对大鼠肝脏中儿茶酚胺诱导的3',5'-环磷酸腺苷(cAMP)反应的影响。链脲佐菌素注射后4周,在未使用胰岛素的极度消瘦(腹膜内脂肪组织完全缺失)的糖尿病大鼠肝脏中,肾上腺素或异丙肾上腺素诱导的cAMP生成增强(为对照的10倍),但在有脂肪组织的糖尿病大鼠肝脏中未增强。无论有无脂肪组织,链脲佐菌素注射后4周的糖尿病大鼠肝脏中胰高血糖素诱导的cAMP生成均减少。在无脂肪组织的糖尿病大鼠肝脏中,促胰液素诱导的cAMP生成也减少。有脂肪组织和无脂肪组织的糖尿病大鼠之间的血糖或胰岛素血浆水平无差异。链脲佐菌素注射后1周观察到肝功能障碍(天冬氨酸转氨酶和丙氨酸转氨酶水平升高),并在4周时恶化。在对照、新患糖尿病(链脲佐菌素注射后1周)和无脂肪组织的糖尿病大鼠肝脏中,福司可林诱导的cAMP生成以及奥昔美唑啉(一种α2肾上腺素能激动剂)对其的抑制作用无差异。
1)β-肾上腺素能增强以及胰高血糖素或促胰液素诱导的cAMP生成减少似乎是由不同机制引起的;2)长期严重糖尿病状态且失去脂肪组织可能会导致代谢和肝细胞特性发生相当大的变化,并导致β-肾上腺素能cAMP生成增强。